Hepatoid Adenocarcinoma of the Stomach with Liver Metastasis
Journal of the Korean Gastric Cancer Association
;
: 127-132, 2005.
Artículo
en Coreano
| WPRIM
| ID: wpr-143468
ABSTRACT
A hepatoid adenocarcinoma of stomach, a subtype of gastric cancr, is characterized by a histologic resemblance to a hepatocellular carcinoma and alpha-feto protein production. Another feature is early metastasis to the liver and lymph nodes, thus revealing a poor prognosis. We report a case of a hepatoid adenocarcinoma of the stomach with liver metastasis. A 52-year-old male visited our hospital with a chief complaint of indigestion. Gastroscopic examination showed a Borrmann type-II lesion on the lesser curvature of the antrum. The CT scan showed a suspected advanced gastric cancer with liver metastasis. The serum AFP level was 123 ng/ml. A radical subtotal gastrectomy and a right hemihepatectomy were performed simultaneously. Pathologic examination confirmed the lesion to be confined to the submucosa. The gastric lesion was a hepatoid adenocarcinoma, and the hepatic lesion was a metastatic adenocarcinoma from the stomach. Therefore, he was classified as having stage IV (T1N1M1) gastric cancer. In cases of a hepatoid adenocarcinoma of the stomach, even patients with early gastric cancer can be staged into the poor prognostic group.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Pronóstico
/
Estómago
/
Neoplasias Gástricas
/
Adenocarcinoma
/
Tomografía Computarizada por Rayos X
/
Carcinoma Hepatocelular
/
Dispepsia
/
Gastrectomía
/
Hígado
/
Ganglios Linfáticos
Tipo de estudio:
Estudio pronóstico
Límite:
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Journal of the Korean Gastric Cancer Association
Año:
2005
Tipo del documento:
Artículo
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